1630 lines
68 KiB
HTML
1630 lines
68 KiB
HTML
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<meta name="keywords" content="checkback, check-back, repeat-back, teamstepps, training, communication, tool, patient safety" />
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<meta name="description" content="A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was received." />
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<title>Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality</title>
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<p>Searchable database of AHRQ Grants</p></div>
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<div class="mm-feature-block hide-on-mobile block block-block-content block-block-contentc6610af5-d53e-4c4c-8541-cbf02cc0fa2a" id="block-block-content-c6610af5-d53e-4c4c-8541-cbf02cc0fa2a">
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/pcor/index.html">PCOR</a></h2>
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<ul>
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</ul>
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<p>AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund.</p></div>
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</div>
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</div>
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</section>
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</div>
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</div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/index.html">News</a></h2></div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/newsroom/index.html">Newsroom</a></h2>
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<ul>
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<li><a href="/news/newsroom/press-releases/index.html">Press Releases</a></li>
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<li><a href="/news/newsroom/social-media/index.html">AHRQ Social Media</a></li>
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<li><a href="/news/newsroom/ahrq-stats.html">AHRQ Stats</a></li>
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<li><a href="/news/newsroom/case-studies/index.html">Impact Case Studies</a></li>
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</ul></div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/blog/index.html">Blog</a></h2>
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<ul>
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<li><a href="/news/blog/ahrqviews/index.html">AHRQ Views</a></li>
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</ul></div>
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</div>
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</div>
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</section>
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<div id="block-block-content-e9e60174-3d60-49da-92d4-3211a6a9ad70" class="block block-block-content block-block-contente9e60174-3d60-49da-92d4-3211a6a9ad70">
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/newsletters/index.html">Newsletter</a></h2>
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<ul>
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<li><a href="/news/newsletters/e-newsletter/index.html">AHRQ News Now</a></li>
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</ul></div>
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</div>
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<div id="block-block-content-2c346bcd-720f-42fd-bac4-6a8d99c465e9" class="block block-block-content block-block-content2c346bcd-720f-42fd-bac4-6a8d99c465e9">
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/news/events/index.html">Events</a></h2>
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<ul>
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<li><a href="/news/events/ahrq-research-summit-diagnostic-safety.html">AHRQ Research Summit on Diagnostic Safety</a></li>
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<li><a href="/news/events/ahrq-research-summit-learning-health-system.html">AHRQ Research Summit on Learning Health Systems</a></li>
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<li><a href="/news/events/nac/index.html">National Advisory Council Meetings</a></li>
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<li><a href="/news/events/conference/index.html">AHRQ Research Conferences</a></li>
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</ul></div>
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</section>
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</div>
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<div class="subnav-2-cols">
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</div>
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<div rel="8" class="row pulldown pulldown8">
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<div class="subnav-2-cols">
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<div class="col-md-12" role="navigation">
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<section class="row region region-megamenu-pulldown8-col1">
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<div class="hide-on-desktop block block-block-content block-block-contentd829a035-55e4-4ec0-b50d-6007e7da6e21" id="block-block-content-d829a035-55e4-4ec0-b50d-6007e7da6e21">
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/index.html">About</a></h2></div>
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<div id="block-block-content-7b86e149-d9ec-4cc0-a9bc-aeef3b7ccfad" class="block block-block-content block-block-content7b86e149-d9ec-4cc0-a9bc-aeef3b7ccfad">
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/index.html">About AHRQ</a></h2><ul><li><a href="/cpi/about/do-you-know-ahrq-quiz.html">How Well Do You Know AHRQ? Quizzes</a></li><li><a href="/cpi/about/profile/index.html">Profile</a></li><li><a href="/cpi/about/mission/index.html">Mission and Budget</a></li><li><a href="/cpi/corecompetencies/index.html">AHRQ's Core Competencies</a></li><li><a href="/cpi/about/nac.html">National Advisory Council</a></li><li><a href="/cpi/about/careers/index.html">Careers at AHRQ</a></li><li><a href="/cpi/about/directions/index.html">Maps and Directions</a></li><li><a href="/cpi/about/otherwebsites/Index.html">Other AHRQ Web Sites</a></li><li><a href="/cpi/about/hhs-agencies/index.html">Other HHS Agencies</a></li><li><a href="/cpi/about/20timeline/testimonials.html">Testimonials</a></li></ul></div>
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</div>
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</div>
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</section>
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</div>
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<div class="subnav-2-cols">
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<div class="col-md-12" role="navigation">
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<section class="row region region-megamenu-pulldown8-col2">
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<div id="block-block-content-a018d8d6-07b1-45b3-8f96-1a25784e6dea" class="block block-block-content block-block-contenta018d8d6-07b1-45b3-8f96-1a25784e6dea">
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/cpi/about/organization/index.html">Organization & Contacts</a></h2>
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<ul>
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<li><a href="/cpi/centers/index.html">Centers and Offices</a></li>
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<li><a href="/cpi/about/organization/orgchart/organizational-chart.html">Organization Chart</a></li>
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<li><a href="/cpi/about/organization/contacts/key-contacts.html">Key Contacts</a></li>
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</ul></div>
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</div>
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</div>
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</section>
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</div>
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</div>
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<div class="subnav-2-cols">
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</div>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-sm-12 utility-mobile">
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<ul class="clearfix">
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<li class="first">
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<a href="/cpi/about/careers/index.html">Careers</a>
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</li>
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<li>
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<a href="/contact/index.html">Contact Us</a>
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</li>
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<li>
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<a href="/informacion-en-espanol/index.html">Español</a>
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</li>
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<li class="last">
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<a href="https://info.ahrq.gov/">FAQs</a>
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</li>
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</ul>
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</div>
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</div>
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</div>
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<div id="breadcrumbs">
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<div class="row row-side-margins">
|
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<div class="col-12 .chrome">
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<div id="block-system-breadcrumb-block" class="block block-system block-system-breadcrumb-block">
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<div class="content">
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<nav role="navigation" aria-label="breadcrumb">
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<ol class="breadcrumb">
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<li class="breadcrumb-item">
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<a href="/">Home</a>
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</li>
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<li class="breadcrumb-item">
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<a href="/teamstepps-program/index.html">TeamSTEPPS Program</a>
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</li>
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<li class="breadcrumb-item">
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<a href="/teamstepps-program/curriculum/index.html">Curriculum Materials</a>
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</li>
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<li class="breadcrumb-item">
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<a href="/teamstepps-program/curriculum/communication/index.html">Module 1: Communication</a>
|
|
</li>
|
|
<li class="breadcrumb-item">
|
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<a href="/teamstepps-program/curriculum/communication/tools/index.html">Section 2: Explanation of Key Concepts and Tools</a>
|
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</li>
|
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<li class="breadcrumb-item active">
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Tool: Check-Back (or Repeat-Back)
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</li>
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</ol>
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</nav>
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</div>
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</div>
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</div>
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<div id="topics-az" class="col-12">
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<div class="row row-side-margins">
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<div class="col-12">
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<div id="main-content-wrapper">
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<section class="main-content col row-side-margins" id="content" role="main">
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<div id="content_top" class="row">
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<div class="col-12">
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<div class="language-switcher-language-url block block-language block-language-blocklanguage-interface" role="navigation">
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<div class="text-right">
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</div>
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<div class="container-fluid site-wrap">
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<div class="row">
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<div class="col-md-12 text-right addthis_toolbox">
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<div class="addtoany-toolbox">
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<h2 class="addtoany-header">SHARE:</h2>
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<div class="block block-addtoany block-addtoany-block">
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<div class="content">
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<span class="a2a_kit a2a_kit_size_16 addtoany_list" data-a2a-url="https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html" data-a2a-title="Tool: Check-Back (or Repeat-Back)"><a class="a2a_button_facebook"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/facebook-tiny.png" border="0" alt="Facebook"></a><a class="a2a_button_twitter"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/x-tiny.png" border="0" alt="X"></a><a class="a2a_button_email"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/envelope-tiny.png" border="0" alt="Email AHRQ"></a><a class="a2a_button_print"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/print-tiny.png" border="0" alt="Print"></a><a class="a2a_dd addtoany_share" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ahrq.gov%2Fteamstepps-program%2Fcurriculum%2Fcommunication%2Ftools%2Fcheckback.html&title=Tool%3A%20Check-Back%20%28or%20Repeat-Back%29"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/share_icons/plus-tiny.png" alt="Share"></a></span>
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</div>
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</div>
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</div>
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</div>
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</div>
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<div>
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<div id="page-top"></div>
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<section class="row region region-page-top">
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<div data-drupal-messages-fallback class="hidden"></div>
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</section>
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</div>
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<div class="row side">
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<button class="btn sbf-btn hidden visible-xs" type="button" data-toggle="collapse"
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data-target=".navbar-collapse" aria-expanded="false" aria-controls="collapseExample">
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More topics in this section
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</button>
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<div class="col-sm-3 sbf-col collapse dont-collapse-sm navbar-collapse">
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<div class="block-sidebar-first block block-menu-block-forked block-menu-block-forkedteamstepps-program" id="block-menu-block-forked-teamstepps-program">
|
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<span class="sbf-main"><a href="/teamstepps-program/index.html">TeamSTEPPS Program</a></span>
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<ul class="clearfix nav navbar-nav collapse dont-collapse-sm navbar-collapse">
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<li class="nav-item menu-item--collapsed sbf-level-one">
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<a href="/teamstepps-program/updated/index.html" class="nav-link" data-drupal-link-system-path="node/240128">TeamSTEPPS Updates</a>
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</li>
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<li class="nav-item menu-item--collapsed sbf-level-one">
|
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<a href="/teamstepps-program/welcome-guides/index.html" class="nav-link" data-drupal-link-system-path="node/240129">Welcome Guides</a>
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</li>
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<li class="nav-item menu-item--expanded active dropdown sbf-level-one">
|
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<a href="/teamstepps-program/curriculum/index.html" class="nav-link active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240152">Curriculum Materials</a>
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<ul class="dropdown-menu menu-level-two">
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<li class="dropdown-item menu-item--collapsed sbf-level-two">
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<a href="/teamstepps-program/curriculum/intro/index.html" data-drupal-link-system-path="node/240123">Introduction to Curriculum</a>
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</li>
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<li class="dropdown-item menu-item--expanded active dropdown sbf-level-two">
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<a href="/teamstepps-program/curriculum/communication/index.html" class="active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240147">Module 1: Communication</a>
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<ul class="dropdown-menu menu-level-three">
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<li class="dropdown-item sbf-level-three">
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<a href="/teamstepps-program/curriculum/communication/overview/index.html" data-drupal-link-system-path="node/240308">Section 1: Overview of Key Concepts and Tools</a>
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</li>
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<li class="dropdown-item menu-item--expanded active dropdown sbf-level-three">
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<a href="/teamstepps-program/curriculum/communication/tools/index.html" class="active" aria-expanded="false" aria-haspopup="true" data-drupal-link-system-path="node/240309">Section 2: Explanation of Key Concepts and Tools</a>
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<ul class="dropdown-menu menu-level-four">
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/sbar.html" data-drupal-link-system-path="node/240311">Tool: SBAR</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/loop.html" data-drupal-link-system-path="node/240312">Tool: Closed-Loop Communication</a>
|
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/callout.html" data-drupal-link-system-path="node/240313">Tool: Call-Out</a>
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</li>
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<li class="dropdown-item active sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/checkback.html" class="active is-active" data-drupal-link-system-path="node/240314" aria-current="page">Tool: Check-Back (or Repeat-Back)</a>
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</li>
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<li class="dropdown-item sbf-level-four">
|
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<a href="/teamstepps-program/curriculum/communication/tools/teachback.html" data-drupal-link-system-path="node/240315">Tool: Teach-Back</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/handoff.html" data-drupal-link-system-path="node/240316">Tool: Handoff</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/ipass.html" data-drupal-link-system-path="node/240307">Tool: I-PASS</a>
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/anticipate.html" data-drupal-link-system-path="node/240317">Tool: ANTICipate</a>
|
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</li>
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<li class="dropdown-item sbf-level-four">
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<a href="/teamstepps-program/curriculum/communication/tools/sharq.html" data-drupal-link-system-path="node/240318">Tool: SHARQ</a>
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</li>
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</ul>
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</li>
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<li class="dropdown-item menu-item--collapsed sbf-level-three">
|
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<a href="/teamstepps-program/curriculum/communication/teach/index.html" data-drupal-link-system-path="node/240310">Section 3: Teaching the Key Concepts and Tools</a>
|
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</li>
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</ul>
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</li>
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<li class="dropdown-item menu-item--collapsed sbf-level-two">
|
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<a href="/teamstepps-program/curriculum/team/index.html" data-drupal-link-system-path="node/240148">Module 2: Team Leadership</a>
|
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</li>
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<li class="dropdown-item menu-item--collapsed sbf-level-two">
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<a href="/teamstepps-program/curriculum/situation/index.html" data-drupal-link-system-path="node/240149">Module 3: Situation Monitoring</a>
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</li>
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<article about="/teamstepps-program/curriculum/communication/tools/checkback.html" typeof="schema:WebPage" class="node node--type-page node--view-mode-full clearfix">
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<span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Tool: Check-Back (or Repeat-Back)</span>
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</h1>
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<div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was received.</p>
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<p>A check-back is an effective tool for all team members, including patients and their family members. Patients and families can use the check-back to verify the receipt of care instructions or confirm understanding of symptoms to monitor. Check-backs are also an important tool to support patients with limited English proficiency (LEP). A video illustration of using them in an LEP context is available.</p>
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<p><a id="lep-checkback" name="lep-checkback"></a></p>
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<div class="youtube-responsive-container"><iframe allowfullscreen alt="YouTube embedded video: TeamSTEPPS: LEP Safety: Checkback" frameborder="0" height="315" src="https://www.youtube-nocookie.com/embed/cv80jkewwxw" title="YouTube embedded video: TeamSTEPPS: LEP Safety: Checkback" width="560">YouTube embedded video: https://www.youtube-nocookie.com/embed/cv80jkewwxw</iframe></div>
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<p><strong>TeamSTEPPS: Limited English Proficiency Safety: Checkback (57 seconds)</strong></p>
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<p>Misunderstandings are common throughout healthcare and frequently result in inefficiencies and staff or patient frustration and additional burden. Some misunderstandings lead to serious medical errors, including misdiagnoses. Check-backs play a key role in reducing misunderstandings because they require the message recipient to directly acknowledge that the message was received and correctly understood and the message source to confirm that their understanding was accurate.</p>
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<p>Emails and text messages create serious risks of miscommunication because recipients of these messages may not promptly read them. The message may also be misunderstood because of typing errors or autocorrected spellings that change the message meaning. Delayed diagnoses that sometimes cause serious patient harm are often caused by a provider overlooking messages alerting them to a test result or occur when the intended recipient misunderstands the message. In an environment where information overload is common, check-backs play a key role in ensuring that messages have been received and that the right message recipients have correctly understood their meaning.</p>
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<p>The <a href="/teamstepps-program/resources/pocket-guide/index.html">Pocket Guide</a> includes the following example of a check-back.</p>
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<p><img alt="Dr. Moss: "Mary, please share the info pamphlet on cholesterol management with Mr. Garcia and arrange for him to come for a follow-up visit in a month." Mary: "I'll share the info pamphlet on cholesterol management and arrange a follow-up visit with Mr. Garcia in a month." Dr. Moss: "Correct."" data-entity-type="file" data-entity-uuid="2c4e0c33-4824-4497-ab4c-f6a45a9b5032" height="366" src="/sites/default/files/wysiwyg/teamstepps-program/curriculum/ts-checkback.png" width="489" loading="lazy"></p>
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<p>Other examples of effective check-backs include:</p>
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<ul>
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<li>One member of the team calls out, "BP is falling, 80/48 down from 90/60." Another team member verifies and validates receipt of the information by saying, "Got it. BP is falling and at 80/48, down from 90/60." The original sender of the information completes the loop by saying, "Correct."</li>
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<li>A nurse is accepting a telephone order from a physician: "Give amoxicillin 875 mg every 12 hours for 7 days." The nurse verifies and validates the order by recording it directly into the chart and reading it back to the physician, "Okay, that was amoxicillin 875 mg every 12 hours for 7 days?" The physician closes the loop by saying, "Correct."</li>
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</ul>
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<p><a id="inpatient" name="inpatient"></a></p>
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<div class="youtube-responsive-container"><iframe allowfullscreen alt="YouTube embedded video: TeamSTEPPS: Check-Back in Inpatient Surgical Teams" frameborder="0" height="315" src="https://www.youtube-nocookie.com/embed/ekX289e3-Uo" title="YouTube embedded video: TeamSTEPPS: Check-Back in Inpatient Surgical Teams" width="560">YouTube embedded video: https://www.youtube-nocookie.com/embed/ekX289e3-Uo</iframe></div>
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<p><strong>TeamSTEPPS: Check-Back in Inpatient Surgical Teams (15 seconds)</strong></p>
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<p> </p>
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<p><a id="long-term" name="long-term"></a></p>
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<div class="youtube-responsive-container"><iframe allowfullscreen alt="YouTube embedded video: TeamSTEPPS: Check Back (Long-Term Care)" frameborder="0" height="315" src="https://www.youtube-nocookie.com/embed/dt3j_LXB76M" title="YouTube embedded video: TeamSTEPPS: Check Back (Long-Term Care)" width="560">YouTube embedded video: https://www.youtube-nocookie.com/embed/dt3j_LXB76M</iframe></div>
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<p><strong>TeamSTEPPS: Check Back (Long-Term Care) (36 seconds)</strong></p>
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<p>To further expand on check-backs or repeat-backs and their uses, consider the following learning options:</p>
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<ul>
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<li>Watch available video examples of check-backs in hospital and long-term care settings (<a href="#inpatient">TeamSTEPPS: Check-Back in Inpatient Surgical Terms</a>; <a href="#long-term">TeamSTEPPS: Check-Back in Long-Term Care</a>) and identify each step in the check-back process:
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<ul>
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<li>Who was the sender? Who was the receiver?</li>
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<li>How did the sender and receiver "close the loop"?</li>
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<li>What communication errors were avoided?</li>
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</ul>
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</li>
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<li>Watch this <a href="/teamstepps-program/resources/patient/index.html#nikki">patient video discussing how a misunderstood message caused patient distress and how a check-back could have prevented it</a>.</li>
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<div id="page-reviewed" class="body-copy-italic">Page last reviewed July 2023 </div>
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<div id="page-created" class="body-copy-italic">Page originally created May 2023</div>
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<span class="citation-hdr">Internet Citation:</span> Tool: Check-Back (or Repeat-Back). Content last reviewed July 2023. Agency for Healthcare Research and Quality, Rockville, MD.<br>
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<span class="citation-url">https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html</span>
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